Individual provider Active NPI

Joan Dunleavy

  • Specialist
  • Bala Cynwyd, PA
National Provider Identifier
1033591524
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
401 E City Ave
Bala Cynwyd, PA 19004-1122
Phone
(610) 668-8800
Fax
(610) 617-3794
NPI assigned
Jun 22, 2015
Last updated
Jun 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

401 E City Ave
Bala Cynwyd, PA 19004-1122

Mailing address

401 E City Ave
Bala Cynwyd, PA 19004-1122
Phone (610) 668-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1033591524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E CITY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041122",
            "telephone_number": "610-668-8800",
            "fax_number": "610-617-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CITY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041122",
            "telephone_number": "610-668-8800",
            "fax_number": "610-617-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLEAVY",
        "first_name": "JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.